HomeMy WebLinkAbout101106101 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {01106{Ol
Pin #: 30887
Proiect Address: 2935 S Fairview St-a- -
Assessor's Parcel. 933-07047 Lot: 2, 611, 2, 4, 5 Block: NA
Unit: A Bldg:
Tract. 8236/8868
Address Range: 2901 -2975
Historic: No
Suite Range:
Zoning: R4
Building Use: Condomlnlum Occupancy: R-2 lsl FL Area Palio:
Job Type Alteratlon Constr Type V B 2nd FL Area T.l.Area:
NatuE otwork Docuca.ago Rop.ir Code: cBc 2013 other Areas yards Reqd
Existing Bldg. & uee condo comptox Flood zone: x.oa02320258J
Garage Area v.tu.tion: ,is,ooo.(x,
PropGed U3q # of Stodesl Total O
Descalptlon ot Work Raplaco detarioral€d deck ioiatr aa requirad including tha rEpl.c.ment of dryw.ll, replace garage header and tmmlng, repelr deck
ahoathing and apply now watarp.qofing, remova and rrplaca leparation walla betweon d.ck3
Planning Conditions:
Engineer:
Total
Tindall
George
077
077
: 5?:;3 Ii,'J+,i J[ti 1
il
ID: flrnorol*s1l
i; I t:ti F'H
i :533, 1 ri
Rei {, ; l0l t r-r61[ll
Owner:
Address:
Phone
Village Walk Townhomes
2905 S Fairview
Santa Ana, CA 92704
(e4e) 3854610
Contractor.
Address:
Phone:
State Lic #.
Lic Type:
Bus. Lic #.
Carrier:
Policy #:
MFK Construction and Main
2901 S. Fairview Unit #A
Santa Ana, CA 92704
(949) 307-6773
1052238
B
375144
Address: 610
Phone:
License #:
Architect /
Designer:
Address:
Tenant
Planning Approval By.
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Workers' Compensation I nsurance:
Everest Premier lnsurance Compa
7600021541211 Phone:
Date: 03/1 112021 Misc. Receipt: tS3Z1
Date: 0510512021 Misc. ReceiPt:
Date: OSIZ41ZOZ1 Misc. Receipt:
Subject to Field:
Corona Del Mar, CA 92625
(94e) 2224615
19921
:
',:
.5-.-lLtsll(.tl,
*ut h *
$4tt4 ,, :::;g
$23 .'/9
f 1 " t-ttt
i74 . .::i[tExpires: 0511512022 License #:
Enriquez, Gissel
Ahangian, Kathy n /
Zuniga, Allissa
1,,
76002 51',507
76002 si600
l,
PAiiiilt"Fde
Phn,,Gheck Fee
$345.28
$479,69
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#
07176002 57770 Microfilm Records
08907007 24000 SMIP - Category 2
07776002 s7672 BIdg. Stds. Revolving
07776002 57600 General Plan Update
07776002 57607 lssuance
Fee Totat
Paid to Date:
Balance Due:
$24 30
$4.20
$1.00
$23.79
$s9.30
$936.s5
$478.68
$457.87
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 57770
08901001 24000
$23.79
$404.58
$1 .00
$24.30
$4.20
Every permitissued shall become invalid unless the worl< on the site authorized by
sutrh permit is commenced within360 days afterifs issuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
t_
C
lnspector MID#: 2021-164724
-...a t t t- r .t ,.1J 7 tCt'7 r..r
:t ic'n iott,
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hueby affrm unda pmalty of pojury thar I m excmpt ftom the Contractoc' Licmrc Law for the following rcun (Se.7031.5
Busine and Profsion Code): Aoy City or County which rcquirs a pornit to conslruct. alts. improvc, dorolish or rpair uy
structue, prior to its isumcc, alrc require rhc applicilt for such pemil to filc a signcd st8tm@t that lE or shc is ticmcd pmuet
to thc lrovisioN of thc Conractor's Licoscd Law (C.haptq 9, Commcncing with SetioD 7000 of Division 3 of the Buine md
ProfsiomCodc)orthsthe orshciscx@ptthEcfromildtheb6sisforthcallcgedcxmpion. AnyviolationofS€{iotr703l.5byany
applicutforapcrmirsubjctsthc applicanttoacivilpcnaltyofnotmorethativehundrcddollus($500).
_1. as owner of thc property, or my employees with wages as their sole compensation. will do the work and thc structure is not
intcnded or offered for sale (Sec.7M4. Business and hofessions Code: The Contractor's License law does not apply to an owner of
the property who builds or improves thereon. and who does such work himself or herself or through his or her own employees,
provided that such improvonents are not intendetl or offered for sale. l[, howsver, the bnrilding or irnprovernert is sold within one year
of complaion. the Or,vner Builder will have the hrden of proving that he or she did not build or improve the p,roperty for thc purposc of
sale).
-1.
as owner of thc property, am exclusively contracting with licensed contractors to construct the project (Scc. 7M4, Buincss
and Profcssion Code: The Contractor's l-icense Law does not apply to an owner of property who builds or improvcs thereon.
and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's Liccnse taw).
-l
am exempt under Section-, B. & P.C. for this reason.
f)o I rr'
WO RKER.S' COM PEN SATION
DECLARATION
I hereby affrnn under penalty of perjury one of the following declarations:
_l havc and will maintain a Certificate of Consent to Self-lnsure for workers' compcnsation, as provided for by Section 3700 of thc
Labor Code, for thc po'formance of the work for which the perrnit is issued.
_l have and will rnaintain workers' cornpensation insurance, as required by Section 3700 of the Labor Code. for the perfonnance of
the work for which this permit is issued. My workers' compcnsalion insurance carrier and policy number arc:\
Policy
( 16cco l5 5I,IS IZZ
fft ""rrify tn"t in the pqformncc of thc work for which this psmit is issued, I shall not mploy any pffin in uy mm6
s 6 to beome subjet to the works' ompensation laws of Califomia ud agrcc that if t should bsorne subjst to thc
work6'smpsationprcvisiomofScrion3T00ofthckborCodc,lshall,fonhwithcomplywiththosprcvisiorc.
WARNING: Failurc to sw workeB' compwtion covmgc is unlawful, ud shall subjet u ilployq to qiminal pqEhi€s ild
civil fme up to onc hutrdrcd thousd dollm ($100.000). in addition to the cost of compcNtion. dm8g6 I providcd for the
Section 3076 of the Labor Code, interest and attorn€y's
L
DECI.ARATION
I hereby affrm under penalty of pcrjury that I am licensed under provision of Chapter 9 (commcncing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full forcc and effect.
License Nurnber:
q
o,,", 4/Z 1/zl
CONSTRUCTTON LENDING AGENCY
I hcby affm unda paulty of pcrjury that thqc is a oretruaion hoding 8g6cy for thc pqfomcc of the work for which this pcmh is
issued (Se. 3097, Civ. C.).
knds's Nme:
Lcnder's Address:
AfIIICANI.DECI.ABAIIAN
I horry atrm und6 poalty of pqjury onc of thc followitrg dslaratio$:
D€molitiotr Pmits-Asbetos Notification F€d6al Rcgulatiom (Titlc 40, Pan6)
("*uir"a -,oof Norificarbn t
rNr cariry tU)tr: fedoal rcgulatioro rcgrding cbctos moval re not appli€blc to this prcj*t.
d( t cutiry tmt t nave red this application and stat€ that thc abov€ information is conet. I agre to comply with all City lttrd Couty
ordimcB ild Statc llw rclating to building coNrrucrion ad hscby surhori4 rcFMtativ6 of this City ed Couty to otc upoo thc
above rnentioned property for inspcction
Applicant or Agent
Pernritee nrnre
o,r". SlzLf /zl
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenUl nsu Iation
Roof Sheathing
Shear Wall ,tl
Framing u ru r
lnsulation/Energy
Drywall -A-
Ext./lnt. Lath rL")l( 5:
Brown Coat
Masonry I v
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Fina! Report
Flood Zone Certif.
tl .n
F!NAL o '[rU I -[ Dll 'u&7
Certificate of Occupancy
Notes, Remarks, Etc.
t4 I tll
rut Nr+.Yd
'ot floVl/